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KELLY A LE MD
NPI 1780619189
Family Medicine in Plano, TX

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
6800 ALMA DR, SUITE 101, PLANO, TX 75023(972) 527-6065(469) 467-8011 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A Le Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A LE MD (NPI 1780619189) is an individual family medicine provider in Plano, Texas, licensed in Texas (L2978) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of University Of Texas Medical School At Houston (1999).

NPPES Registry Identity

NPI1780619189
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY A LECredential: MD
Location Address6800 ALMA DR, SUITE 101Plano, TX 75023-2006
Mailing Address6800 Alma Dr, Suite 101Plano, TX 75023-2006 · (972) 527-6065 · Fax (469) 467-8011
Phone(972) 527-6065
Fax(469) 467-8011
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1999
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 24, 2008
✔ NPI 1780619189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L2978
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6800 ALMA DR, Plano, TX 75023
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Other Identifiers 3

Medicaid156271202TX
Medicare UPINH60262TX
Medicare PIN8F2456

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly A Le Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840220943
PECOS Enrollment IDI20050818000327
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
195 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
24 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
20 services14 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
14 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims54 services$5.47 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$31.08 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THUONG DOMINIC HOANG D.D.S.
Dentist (General Practice)
6800 ALMA DR, SUITE #101
PLANO, TX 75023
Collin County (469) 467-8007
DR. CUONG BUI D.D.S.
Dentist (General Practice)
6800 ALMA DR, #101
PLANO, TX 75023
Collin County (469) 467-8007
PREMIER FAMILY MEDICAL, PA
Family Medicine
6800 ALMA DR
PLANO, TX 75023
Collin County (972) 527-6065
DR. SMILE DENTISTRY, P.A.
Dentist (General Practice)
6800 ALMA DR, SUITE #101
PLANO, TX 75023
Collin County (469) 467-8007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Le's NPI number?

The NPI number for Kelly Le is 1780619189. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Kelly Le located?

Kelly Le practices at 6800 Alma Dr Suite 101, Plano, TX 75023. The listed phone number is (972) 527-6065.

What is Kelly Le's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Le enrolled in Medicare?

Yes. Kelly Le is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Le accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kelly Le as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Le affiliated with any hospitals?

According to CMS data, Kelly Le is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Kelly Le was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.